| NPI | 1114356961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IA 151128) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2025-11-18 |