| NPI | 1295984912 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT34929) | 
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC15199) | 
| Enumeration Date | 2008-09-18 | 
| Last Update Date | 2020-04-22 |