NPI | 1386186294 |
---|---|
Former Name | SARAH ELIZABETH SIEBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: MN 105269) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 105269) |
Enumeration Date | 2016-11-08 |
Last Update Date | 2019-04-01 |