| NPI | 1023882214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 171400000X Health & Wellness Coach | |
| 174200000X | |
| 177F00000X Lodging | |
| 347C00000X Private Vehicle | |
| 372600000X Adult Companion | |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2023-11-08 |