| NPI | 1255911392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: MD 09273) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 09273) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-04-13 |