| NPI | 1619144813 |
|---|---|
| Former Name | HEATHER ELIZABETH WILLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NV 15-0598) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 6577) |
| 225X00000X Occupational Therapist (Licence: AZ 5961) | |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2018-05-19 |