| NPI | 1366713323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA VP006903M) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA VP006903M) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2024-02-28 |