| NPI | 1932470275 |
|---|---|
| Former Name | KELLY LYNN ANDRASIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 11652) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 238537) |
| 174N00000X Lactation Consultant, Non-RN (Licence: L-157334) | |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2025-12-11 |