| NPI | 1336456649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R245492) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R245492) |
| 225X00000X Occupational Therapist (Licence: DC OT010000519) | |
| 225X00000X Occupational Therapist (Licence: MD 06046) | |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2024-10-17 |