| NPI | 1942371232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD 5849) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2015-01-03 |