| NPI | 1508445099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: MO 2019045915) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2019045915) |
| 174H00000X Health Educator (Licence: MO 2019045915) | |
| Enumeration Date | 2021-04-03 |
| Last Update Date | 2021-04-03 |