NPI | 1013198365 |
---|---|
Former Name | TARA ALEXIA EPPS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225400000X Rehabilitation Practitioner |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2007-11-15 |
Last Update Date | 2014-07-07 |