| NPI | 1174862668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA8855) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9205539) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2013-02-04 |