| NPI | 1497944243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA 001943) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: GA 001943) | |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2011-06-15 |