| NPI | 1174544043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9179336) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT19790) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2007-07-08 |