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 |