| 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 | 2025-09-11 |