| NPI | 1780846998 |
|---|---|
| Former Name | TINA MARIE BRUNKE-WEATHERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NM DC2274) |
| Additional Taxonomies | 171100000X Acupuncturist |
| 111NN1001X Chiropractor Nutrition (Licence: KS 01-05206) | |
| 133N00000X Nutritionist | |
| Enumeration Date | 2008-06-28 |
| Last Update Date | 2022-09-28 |