NPI | 1740752625 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
Additional Taxonomies | 174H00000X Health Educator |
1744R1102X Specialist Research Study | |
224Y00000X Clinical Exercise Physiologist | |
Enumeration Date | 2018-12-17 |
Last Update Date | 2019-01-04 |