| NPI | 1174738702 |
|---|---|
| Former Name | AMY WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 3270026) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: WI 3270-026) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2008-05-22 |