| NPI | 1700353109 |
|---|---|
| Former Name | KAYLEIGH LYNN MCCLURE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 105788) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MN 105788) |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-24 |