| NPI | 1063679025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NC 3363) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 188234) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2014-01-06 |