NPI | 1912360587 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MN 105870) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056.011491) |
Enumeration Date | 2016-03-31 |
Last Update Date | 2019-06-12 |