NPI | 1700512555 |
---|---|
Former Name | PEARL GILLIAN AQUINO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: CA 20165) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 20165) |
Enumeration Date | 2022-07-25 |
Last Update Date | 2024-04-25 |