NPI | 1437454675 |
---|---|
Former Name | KIRSTEN ANNE BOGAARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XH1200X Occupational Therapist Hand (Licence: NH 2477) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 8465) |
Enumeration Date | 2011-01-19 |
Last Update Date | 2019-10-08 |