| NPI | 1760933840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 175F00000X Naturopath |
| 224Y00000X Clinical Exercise Physiologist | |
| 225400000X Rehabilitation Practitioner | |
| 246ZC0007X Specialist/Technologist, Other, Surgical Assistant | |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2022-12-22 |