| NPI | 1497485213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WR0400X Registered Nurse, Rehabilitation (Licence: ZZ RN724) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL 5245730) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-08-10 |