| NPI | 1285745448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT7981) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC16958) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-09-28 |