NPI | 1659909950 |
---|---|
Former Name | MIRANDA PAULUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056.013548) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2020009519) |
Enumeration Date | 2020-03-31 |
Last Update Date | 2020-03-31 |