| NPI | 1962721837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT80783) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT023259) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2014-10-08 |