NPI | 1922492644 |
---|---|
Former Name | CAROLYN KRUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ND 1172) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 103623) |
Enumeration Date | 2015-03-19 |
Last Update Date | 2024-09-26 |