| NPI | 1053002691 |
|---|---|
| Former Name | ALEXANDRA ELISSE PALACIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-05-16 |