| NPI | 1396705505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA15390) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT17076) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2012-03-28 |