| NPI | 1801126404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA23089) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 19923) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2014-12-23 |