| NPI | 1619157898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 01030191) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: 295547-00) |
| 225700000X Massage Therapist (Licence: OR 7602) | |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2024-11-06 |