| NPI | 1881149029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN1001X Chiropractor Nutrition (Licence: TN 2609) |
| Additional Taxonomies | 111NI0900X Chiropractor Internist (Licence: TN 2609) |
| 111NP0017X Chiropractor Pediatric Chiropractor (Licence: TN 2609) | |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |