| NPI | 1780659607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist Hand (Licence: CO 0003079) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 109007) |
| 225X00000X Occupational Therapist (Licence: MD 1030667) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2014-03-10 |