| NPI | 1053407171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 100327) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 100327) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2009-07-30 |