| NPI | 1528397403 |
|---|---|
| Former Name | KRISTIE M UNDERWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT13711) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT13711) |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2023-09-28 |