| NPI | 1689140980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL 12870) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 13913) |
| 133N00000X Nutritionist | |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2021-11-12 |