NPI | 1417003070 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT9965) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 8392) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2012-08-30 |