| NPI | 1770735763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN1001X Chiropractor Nutrition (Licence: TX 11413) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 3209) |
| 111N00000X Chiropractor (Licence: TX 11413) | |
| 111NN1001X Chiropractor Nutrition (Licence: MA 3209) | |
| 111NP0017X Chiropractor Pediatric Chiropractor (Licence: TX 11413) | |
| 111NS0005X Chiropractor Sports Physician (Licence: MA 3209) | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2019-03-29 |