| NPI | 1902282064 | 
|---|---|
| Former Name | JESSICA LANDIS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 171400000X Health & Wellness Coach | 
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IN 28164560A) | 
| Enumeration Date | 2015-07-30 | 
| Last Update Date | 2021-04-02 |