NPI | 1942714837 |
---|---|
Former Name | MACLAINE ELIZABETH GARRISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: SC 5113) |
Enumeration Date | 2017-11-30 |
Last Update Date | 2019-02-14 |