| NPI | 1275876153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MS 924107) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: IL 057002495) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2024-05-08 |