| NPI | 1740977024 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: IN 30260) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1021512) | 
| Enumeration Date | 2023-04-18 | 
| Last Update Date | 2023-04-18 |