| NPI | 1093769135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: DE J2-0000201) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: DE J2-0000201) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2021-07-23 |