| NPI | 1801289970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Y00000X Clinical Exercise Physiologist |
| Additional Taxonomies | 174400000X Specialist (Licence: WA 631836) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-26 |