| NPI | 1528165172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA 2271845) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MA 5734) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2011-08-30 |