| NPI | 1902428444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 175L00000X Homeopath |
| 175F00000X Naturopath | |
| 171400000X Health & Wellness Coach | |
| 305S00000X Point of Service | |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2026-04-03 |