| NPI | 1528671328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Y00000X Clinical Exercise Physiologist |
| Additional Taxonomies | 133N00000X Nutritionist |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2024-05-21 |