NPI | 1528182300 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 000-0002562) |
Additional Taxonomies | 225100000X Physical Therapist |
133V00000X Dietitian, Registered (Licence: VT 867109) | |
133N00000X Nutritionist | |
Enumeration Date | 2007-03-19 |
Last Update Date | 2018-08-02 |