| 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 |