NPI | 1063900397 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MD 05667) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 05667) |
Enumeration Date | 2018-04-23 |
Last Update Date | 2018-04-23 |