| NPI | 1053369108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC009966) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: NJ 46TR00348000) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2019-08-26 |