| NPI | 1285837310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2004028283) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS 17-01106) |
| 225X00000X Occupational Therapist (Licence: MO 004332) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-07-08 |