| NPI | 1609099290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 103032) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: MN 201311087) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2015-07-24 |