| NPI | 1659338341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171000000X Military Health Care Provider (Licence: WA 60180081) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT160180081) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2019-03-05 |