| NPI | 1639959778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 28635) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: SC 28635) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 28635) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: SC 28635) | |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2025-08-28 |