| NPI | 1871221184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Y00000X Clinical Exercise Physiologist |
| Additional Taxonomies | 374700000X Technician (Licence: CT 203871) |
| Enumeration Date | 2022-08-13 |
| Last Update Date | 2022-08-13 |