| NPI | 1164467783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 14818) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 24118) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2023-07-03 |