| NPI | 1366433450 |
|---|---|
| Former Name | ELIZABETH A. VIGIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NM OT423) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NM MT-2024-0084) |
| Enumeration Date | 2005-10-29 |
| Last Update Date | 2025-10-31 |