NPI | 1497441117 |
---|---|
Former Name | EMMA FAITH TILTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OR 478687) |
Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: VA E3175145) |
Enumeration Date | 2023-04-14 |
Last Update Date | 2024-07-15 |