| NPI | 1568963049 |
|---|---|
| Former Name | ELIZABETH RENEE HOLLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: 212676) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX 212676) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2024-06-14 |