| NPI | 1619209244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2865M2000X Military Hospital, Military General Acute Care Hospital (Licence: NC 7388) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 7388) |
| Enumeration Date | 2010-02-07 |
| Last Update Date | 2013-12-20 |