| NPI | 1104337260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NE 1012452) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NE 1707) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2025-01-03 |