NPI | 1295842565 |
---|---|
Former Name | JULIE JAKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT00003223) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LP00033186) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2008-02-19 |