| NPI | 1992195846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 26699) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 8699) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |