| NPI | 1699421073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ND PAC1196) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2025-09-25 |