NPI | 1316425291 |
---|---|
Former Name | KARI JANECE ROOSENBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AK 2074) |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: AK 2074) |
Enumeration Date | 2018-08-01 |
Last Update Date | 2018-08-01 |