| NPI | 1134692791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: 2019000368) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: MO 2019000368) |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |