| NPI | 1003000605 |
|---|---|
| Former Name | DIANE ELIZABETH DEAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: MI 5201003946) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 5201003946) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2023-09-05 |