NPI | 1255622114 |
---|---|
Former Name | TARA-RENEE HAMILTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: HI OT-2077-0) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-309686) |
225X00000X Occupational Therapist (Licence: WA 60075291) | |
225X00000X Occupational Therapist (Licence: AK 100574) | |
225XP0200X Occupational Therapist, Pediatrics (Licence: CA 11769) | |
Enumeration Date | 2011-04-27 |
Last Update Date | 2023-04-14 |