NPI | 1053854000 |
---|---|
Former Name | VIVIANNE LUISA DIONISIO TRILLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IA 085179) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 14486) |
225X00000X Occupational Therapist (Licence: ID OT1413) | |
Enumeration Date | 2016-11-23 |
Last Update Date | 2016-11-23 |