| NPI | 1699046045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT38000) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 17477) |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2018-10-09 |