| NPI | 1609133230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND7147) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA 50325) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2023-09-28 |