| NPI | 1588906275 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WR0400X Registered Nurse, Rehabilitation (Licence: SC 29744)  | 
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: SC 29744)  | 
| Enumeration Date | 2013-03-21 | 
| Last Update Date | 2013-03-21 |