NPI | 1811302383 |
---|---|
Former Name | NICOLE M OROS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 135802) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: KY R5802) |
Enumeration Date | 2014-06-24 |
Last Update Date | 2019-04-26 |