| NPI | 1841739307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 10860) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT006305) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2023-07-26 |