| NPI | 1013168640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: NY 005416-1) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: CPO-01564) |
| 224P00000X Prosthetist (Licence: CPO-01564) | |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-01 |