| NPI | 1104034396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 06635) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00154000) |
| 225XH1200X Occupational Therapist, Hand (Licence: NJ 46TR00154000) | |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2011-07-18 |