| NPI | 1164614350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist Hand (Licence: MN 103467) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 103467) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2020-04-03 |