| NPI | 1912043183 |
|---|---|
| Former Name | NANCY JEAN DAVIDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 2610-026) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056.005654) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |