NPI | 1841861291 |
---|---|
Professional Name | SONJA L MACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: SC 207487) |
Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: SC 207487) |
171400000X Health & Wellness Coach | |
Enumeration Date | 2021-07-07 |
Last Update Date | 2021-07-07 |