| NPI | 1457567984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WX0200X Registered Nurse Oncology (Licence: PA RN573544) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT011812L) |
| 225100000X Physical Therapist (Licence: NJ 40QA00788400) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |