| NPI | 1578671558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 52008) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT23425) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2014-10-16 |