| NPI | 1982321428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: CA 34723) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: UT 116106-1202) |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2022-10-25 |