NPI | 1134974660 |
---|---|
Former Name | CHLOE MARIE LANTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 107523) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2024-04-18 |
Last Update Date | 2024-07-15 |