| NPI | 1427383967 |
|---|---|
| Former Name | ELIZABETH REE INGRAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2013021046) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY R4294) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2015-02-12 |