| NPI | 1942957386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DE L2-0010054) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| Enumeration Date | 2022-03-06 |
| Last Update Date | 2022-03-06 |