| NPI | 1124159397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: IN 31004258A) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31004258A) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-03-09 |