| NPI | 1407635980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 110275) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX 110275) |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-09-25 |