| NPI | 1851395453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: NH 8450809) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 38-010216) |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2020-01-10 |