| NPI | 1073741047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT15683) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA21520) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2017-03-20 |