NPI | 1346372919 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133N00000X Nutritionist |
Additional Taxonomies | 171100000X Acupuncturist (Licence: WI 368-055) |
225700000X Massage Therapist (Licence: WI 1300-046) | |
Enumeration Date | 2007-03-09 |
Last Update Date | 2007-07-08 |