| NPI | 1922170729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: NY 004088) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X005349-1) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2025-09-11 |