| NPI | 1033794466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 224Y00000X Clinical Exercise Physiologist (Licence: VA 98893623) |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-07-15 |