| NPI | 1861746323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: CO 3022) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: NY X002078) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2012-11-06 |