| NPI | 1508446600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Y00000X Clinical Exercise Physiologist (Licence: MA 44122782) |
| Additional Taxonomies | 163WD1100X Registered Nurse, Dialysis, Peritoneal (Licence: MA 197825) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2021-04-12 |