| NPI | 1659682623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZG1000X Specialist/Technologist, Other, Geneticist, Medical (PhD) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA33895) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2020-08-13 |