| NPI | 1538146584 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: PA TP003869M) | 
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA TP003869M) | 
| Enumeration Date | 2005-12-29 | 
| Last Update Date | 2010-07-22 |