| NPI | 1043472343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A117686) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 32910) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2021-12-15 |