| NPI | 1316765134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: LA L1201910311) |
| Additional Taxonomies | 211D00000X Assistant, Podiatric (Licence: LA L1201910311) |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |