| NPI | 1881041283 |
|---|---|
| Former Name | KRISTIN MARIE MIKULSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 12556) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ME OT3164) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2018-11-05 |