| NPI | 1679949432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: UT 9495248-1206) |
| Additional Taxonomies | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: UT 9495248-4201) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2025-05-08 |