NPI | 1063880615 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 366023) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: OR L-316769) |
Enumeration Date | 2015-09-11 |
Last Update Date | 2024-12-16 |