| NPI | 1821320441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: AZ 8577) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: NY X011983-1) |
| Enumeration Date | 2010-02-07 |
| Last Update Date | 2023-10-31 |