| NPI | 1043779382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA005307) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: PA OP007780) |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2020-07-20 |