NPI | 1003146911 |
---|---|
Former Name | KAITLIN ELIZABETH KIERAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056008883) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: IL 056008883) |
Enumeration Date | 2009-12-28 |
Last Update Date | 2023-08-28 |