| NPI | 1750160891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: TX 1231081274) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: TX 88956236995) |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2024-05-13 |