| NPI | 1336384049 |
|---|---|
| Former Name | JULIE KRISTINE BLUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2008028709) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS 1702506) |
| 225X00000X Occupational Therapist (Licence: IN 31004411A) | |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2018-08-22 |