| NPI | 1174766398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA TD 8499) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 03037) |
| 171100000X Acupuncturist (Licence: MT 85) | |
| 225100000X Physical Therapist (Licence: MT 686) | |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2009-04-17 |