| NPI | 1285032276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CA 46521) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA 46521) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CA 46521) | |
| 225700000X Massage Therapist (Licence: CA 46521) | |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2022-11-26 |