| NPI | 1164621165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 018744) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 029649) |
| 224Z00000X Occupational Therapy Assistant (Licence: NY 006520-1) | |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2024-11-05 |