| NPI | 1669729869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 60975) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 28380) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2022-04-20 |