| NPI | 1629723093 |
|---|---|
| Former Name | ALEXANDRA ELISABETH BRUNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: LA 329740) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 120054) |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2022-05-04 |