| NPI | 1891587804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95184498) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: CA 95184498) |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-05-19 |