| NPI | 1760928626 |
|---|---|
| Former Name | JESSICA L LODAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.013067) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2023-01-30 |