| NPI | 1144927674 |
|---|---|
| Former Name | EMILY ELIZABETH WEIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AL 6048) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: AL 6048) |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-02-15 |