NPI | 1215476411 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: NJ 18KT00261400) |
Additional Taxonomies | 133N00000X Nutritionist |
133NN1002X Nutritionist Nutrition, Education | |
172M00000X Mechanotherapist | |
175L00000X Homeopath (Licence: ZZ 1431) | |
Enumeration Date | 2017-02-21 |
Last Update Date | 2019-10-28 |