| NPI | 1457565228 |
|---|---|
| Former Name | KRISTINE MARIE VUKELICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104701) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MN 201405) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2015-04-10 |