| NPI | 1023132826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL rn9178636) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL pta 18328) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |