| NPI | 1710985486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: OR 17105) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 3106) |
| 111NN1001X Chiropractor Nutrition (Licence: OR 238) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2017-02-19 |