| NPI | 1023648201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225500000X Specialist/Technologist |
| Additional Taxonomies | 174400000X Specialist |
| 174H00000X Health Educator | |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-16 |