NPI | 1104975192 |
---|---|
Former Name | NATYLON NICOLE LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MS OT1926) |
Additional Taxonomies | 225XE0001X Occupational Therapist, Environmental Modification (Licence: MS OT1926) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2024-01-04 |