| NPI | 1174263438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Y00000X Clinical Exercise Physiologist (Licence: NC 244511135) |
| Additional Taxonomies | 171400000X Health & Wellness Coach (Licence: NC A-3279437) |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2023-07-21 |