NPI | 1982313342 |
---|---|
Former Name | MAYA DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 15534) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 349627) |
Enumeration Date | 2022-11-15 |
Last Update Date | 2022-11-15 |