| NPI | 1174649933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9114084) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 23539) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2022-10-20 |