NPI | 1457117590 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174H00000X Health Educator (Licence: AL 36695) |
Additional Taxonomies | 171400000X (Licence: AL W49268) |
224Y00000X Clinical Exercise Physiologist (Licence: AL C153958) | |
Enumeration Date | 2024-02-26 |
Last Update Date | 2024-03-27 |