| NPI | 1225368921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L001150) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 200001517079) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2010-01-04 |