NPI | 1013371137 |
---|---|
Former Name | KAYLA FISH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31006039A) |
Additional Taxonomies | 247200000X Technician, Other (Licence: IN 99069334A) |
Enumeration Date | 2016-04-06 |
Last Update Date | 2016-04-06 |