| NPI | 1467720862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 18532) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 14582) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2012-11-09 |