| NPI | 1174730964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041548637) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PTA20857) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2023-10-18 |