| NPI | 1063718997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 34227) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MN 34227) | |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2022-10-19 |