| NPI | 1740299270 |
|---|---|
| Former Name | LISA M. FITZGERALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: 9511000148) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: 970694) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2013-08-08 |