| NPI | 1255457651 |
|---|---|
| Former Name | ELIZA ENTREKIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119005752) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00441400) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2017-12-19 |