| NPI | 1912110560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: RI DCP00568) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC003641L) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2008-05-26 |