NPI | 1932471588 |
---|---|
Former Name | KRISTINA MICHELLE LUTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY R3359) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31004539A) |
Enumeration Date | 2012-01-28 |
Last Update Date | 2012-01-28 |