| NPI | 1073179172 |
|---|---|
| Former Name | ALEXIS MICHELE KRUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 6188) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2021-07-28 |