NPI | 1184791972 |
---|---|
Former Name | BETH MARIE LERNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 103218) |
Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: MN 103218) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2007-07-08 |