| NPI | 1528354859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MD A01694) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: MD 0207212) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2011-06-24 |