| NPI | 1043856479 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: GA OT007491) | 
| Additional Taxonomies | 225X00000X Occupational Therapist | 
| Enumeration Date | 2019-11-20 | 
| Last Update Date | 2021-05-13 |