| NPI | 1003790379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0400X Registered Nurse, Rehabilitation (Licence: WI 265530-30) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 265530-30) |
| Enumeration Date | 2025-08-01 |
| Last Update Date | 2025-08-01 |