| NPI | 1053301630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist Hand (Licence: TN 4097) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: LA Z12212) |
| 225XH1200X Occupational Therapist Hand (Licence: OK 1469) | |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2023-02-08 |