| NPI | 1376419721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Y00000X Clinical Exercise Physiologist (Licence: NY 1241268806) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: NY 5450323) |
| Enumeration Date | 2025-10-14 |
| Last Update Date | 2025-10-14 |