NPI | 1861068942 |
---|---|
Former Name | VALERIE GISELLE FERNANDEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NH 3153) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 13841) |
Enumeration Date | 2021-05-31 |
Last Update Date | 2021-05-31 |