NPI | 1659012268 |
---|---|
Former Name | KYLIE HUESMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31007625A) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: IN 31007625A) |
Enumeration Date | 2022-04-06 |
Last Update Date | 2023-08-10 |