| NPI | 1821741018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT4158) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: ME OT4158) |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2022-01-28 |