| NPI | 1720376833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: NC 1255) |
| 367H00000X Anesthesiologist Assistant (Licence: GA 6865) | |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2023-12-06 |