NPI | 1881748549 |
---|---|
Former Name | MICHELLE ELAINE INGLIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: WA OT00004197) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2008-06-23 |