| NPI | 1861693814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AL 2089) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AL 2089) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2016-09-08 |