| NPI | 1679796478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 8317) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC 14584) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2013-08-13 |