NPI | 1710649223 |
---|---|
Former Name | NICOLE DANZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201011340) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201011111340) |
Enumeration Date | 2021-10-12 |
Last Update Date | 2023-09-21 |