| NPI | 1497279947 |
|---|---|
| Former Name | DIANE GERALYN NASUTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: FL OT2403) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2018-03-17 |