| NPI | 1629571054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 291382) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2025-03-27 |