NPI | 1871947481 |
---|---|
Former Name | ELIZABETH ANN MACKIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: VA 0119006070) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119006070) |
Enumeration Date | 2016-04-20 |
Last Update Date | 2020-01-22 |