| NPI | 1508421983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MT 8518) |
| Additional Taxonomies | 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: NH 2891) |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2023-01-30 |