| NPI | 1134386634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist Hand (Licence: MI 5201009726) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: MO 200811595) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2018-07-13 |