| NPI | 1881341782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 11862) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2487727) |
| 171400000X Health & Wellness Coach (Licence: A-3272339) | |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2025-01-15 |