| NPI | 1972384568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA103707) |
| Additional Taxonomies | 133N00000X Nutritionist |
| 171400000X | |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2024-08-23 |