| NPI | 1033554019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 133N00000X Nutritionist |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2013-05-06 |