| NPI | 1457601593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT39391) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 19485) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2024-11-01 |