| NPI | 1790491355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MS 3322-4030) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: MS 3322-4030) |
| 171400000X Health & Wellness Coach (Licence: MS 3322-4030) | |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2025-09-04 |