| NPI | 1861130320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 323012) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704363047) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: NC 323012) | |
| 163WG0000X Registered Nurse, General Practice (Licence: IL 041376043) | |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2024-01-03 |