| NPI | 1164576690 |
|---|---|
| Former Name | ANITA MICHELLE PUTMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 056001471) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056001471) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2008-12-03 |