NPI | 1235420464 |
---|---|
Former Name | SAMANTHA LYNN BEAUMONT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 13593) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2011-04-21 |
Last Update Date | 2014-12-03 |