| NPI | 1598114621 |
|---|---|
| Former Name | KRISTIN MARIE HEINZE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056.011907) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119006142) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2017-04-12 |