| NPI | 1245922566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Y00000X Clinical Exercise Physiologist |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OH 33.010112) |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2024-07-03 |