| NPI | 1689297384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: AL 3922917) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL PA.1621) |
| 363AM0700X Physician Assistant, Medical (Licence: AL PA.1621) | |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2024-07-01 |