| NPI | 1043845068 |
|---|---|
| Former Name | JASMINE DANIELLE EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CO OT.0006339) |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |