| NPI | 1043072721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 172A00000X Driver | |
| 174400000X Specialist | |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |