| NPI | 1245506955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator (Licence: AZ MT 04907) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA CCMT 29473) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |