| NPI | 1710187927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: NY x3336) |
| Additional Taxonomies | 111NR0400X (Licence: NY x3336) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |