| NPI | 1770099277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC012636) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 08349) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2019-05-14 |