| NPI | 1508136771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 11398) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 9258) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2020-01-16 |