| NPI | 1467873489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Y00000X Clinical Exercise Physiologist (Licence: AZ 042118) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AZ 7102651204) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |