| NPI | 1053633065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 017820-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 296504-1) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2014-01-20 |