| NPI | 1033382148 |
|---|---|
| Former Name | NICOLE LEONIE FAINSAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: VA 2305207613) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 9722) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2013-03-06 |