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 |