| NPI | 1114393956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WR0400X Registered Nurse, Rehabilitation (Licence: GA RN243066) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60270142) |
| 163WR0400X Registered Nurse, Rehabilitation (Licence: CA 725156) | |
| 163WR0400X Registered Nurse, Rehabilitation (Licence: NV RN58436) | |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |