| NPI | 1861722381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN1001X Chiropractor Nutrition (Licence: KS 01-05298) |
| Additional Taxonomies | 111NN1001X Chiropractor Nutrition (Licence: CO 2883) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2010-01-05 |