| NPI | 1427293364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: MD 06238) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 06238) |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2023-10-12 |