| NPI | 1194263566 |
|---|---|
| Former Name | LUCIA DIANA ULLOA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 13744) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |