| NPI | 1841611860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Y00000X Clinical Exercise Physiologist (Licence: AZ T114083) |
| Additional Taxonomies | 224Y00000X Clinical Exercise Physiologist (Licence: AZ 01273) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |