| NPI | 1386835304 |
|---|---|
| Former Name | BRENDA LORRAINE NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119003921) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: DC OT010000313) |
| 225X00000X Occupational Therapist (Licence: NY 012062-1) | |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |