| NPI | 1699149955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131001207) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001246486) |
| 163W00000X Registered Nurse (Licence: FL 9247661) | |
| 224Z00000X Occupational Therapy Assistant (Licence: FL OTA9539) | |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2015-11-23 |