| NPI | 1184048571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 031340) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 1023268) |
| 133V00000X Dietitian, Registered (Licence: NY 007985) | |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2021-01-07 |