| NPI | 1982811378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT29435) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC30509) |
| 171100000X Acupuncturist (Licence: CA AC11614) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2008-06-27 |