| NPI | 1750669347 |
|---|---|
| Former Name | NIKKI RAE ELSASSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NE 1646) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: WA OT60223953) |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2020-01-08 |