| NPI | 1144415621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA vn49726) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-10-19 |