NPI | 1609114099 |
---|---|
Former Name | ELIZABETH ANN WATSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH OT011370) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
Enumeration Date | 2013-01-21 |
Last Update Date | 2021-04-04 |