NPI | 1043313232 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME142325) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT 10388) |
Enumeration Date | 2006-09-06 |
Last Update Date | 2022-09-20 |