NPI | 1295195139 |
---|---|
Former Name | CARA NELLL WEATHERFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119006889) |
Enumeration Date | 2016-03-04 |
Last Update Date | 2023-02-24 |