| NPI | 1669773438 |
|---|---|
| Former Name | JANELL A BOWIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: MD DX5128) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: DC NU200000215) |
| 133V00000X Dietitian, Registered (Licence: MD DX5128) | |
| 225700000X Massage Therapist (Licence: KY BMTMTH00215973) | |
| 225700000X Massage Therapist (Licence: MD M04137) | |
| 225700000X Massage Therapist (Licence: WA MA60160289) | |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2021-08-31 |