| NPI | 1861527376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN1001X Chiropractor Nutrition (Licence: CT 001312) |
| Additional Taxonomies | 111NN1001X Chiropractor Nutrition (Licence: NY X009452) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-08 |