| NPI | 1477554202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ RN053082) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ RN053082) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2018-02-06 |