| NPI | 1093125098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VT 104.0000065) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: VT 96965) |
| 163W00000X Registered Nurse (Licence: VT 026.0031199) | |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2024-09-26 |