| NPI | 1306041751 |
|---|---|
| Former Name | ELISA MARY SAMMONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: GA OT004402) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT004402) |
| Enumeration Date | 2007-06-17 |
| Last Update Date | 2013-04-16 |