| NPI | 1003541962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.003970) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: IL 277.003970) |
| 171400000X Health & Wellness Coach (Licence: IL 277.003970) | |
| 202D00000X Integrative Medicine (Licence: IL 277.003970) | |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2026-05-03 |