| NPI | 1629714753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: FL OT24550) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 026675) |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2024-01-07 |