| NPI | 1447339981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: CA 95003043) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 19642) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2015-09-23 |