| NPI | 1578047981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX 127296) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 225700000X Massage Therapist (Licence: TX MT127296) | |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2024-02-13 |