| NPI | 1154562106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT295452) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC12959) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2019-03-04 |