NPI | 1770022808 |
---|---|
Former Name | CARA ELIZABETH MOORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: HI OT-1996) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT69724168) |
225XP0200X Occupational Therapist, Pediatrics (Licence: WA OT6974168) | |
Enumeration Date | 2017-02-22 |
Last Update Date | 2023-11-03 |