NPI | 1497270870 |
---|---|
Former Name | KIMBERLY CARIN KAIULANI CARTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CO 5022) |
Additional Taxonomies | 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing (Licence: CA 10898) |
Enumeration Date | 2017-08-07 |
Last Update Date | 2017-08-07 |