| NPI | 1073755146 |
|---|---|
| Former Name | JANIE MIRANDA MEZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2020037712) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR PT4144) |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2020-11-08 |