| NPI | 1730143876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC LL36723) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC007307L) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2014-07-16 |