| NPI | 1730494006 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT36902) | 
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC16780) | 
| Enumeration Date | 2010-08-11 | 
| Last Update Date | 2015-11-04 |