| NPI | 1598345506 |
|---|---|
| Other Name | JACLYN JACI MIRANDA NEWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: TX 120177) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-04-13 |