| NPI | 1912429713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Y00000X Clinical Exercise Physiologist |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA59579) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2022-07-21 |