| NPI | 1841746518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA 11568) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5197395) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |