| NPI | 1134090319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171000000X Military Health Care Provider (Licence: MO PA-NA) |
| Additional Taxonomies | 1710I1002X Military Health Care Provider, Independent Duty Corpsman (Licence: CA PA-NA) |
| 171W00000X Contractor (Licence: GA CN0014256052) | |
| 171400000X Health & Wellness Coach | |
| 174H00000X Health Educator | |
| 183700000X Pharmacy Technician | |
| 251E00000X Home Health (Licence: LA 318362) | |
| 251J00000X Nursing Care (Licence: OK 320837880125) | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2025-09-12 |
| Last Update Date | 2025-09-12 |