| NPI | 1770157315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 171400000X Health & Wellness Coach | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2021-05-18 |