NPI | 1073806493 |
---|---|
Former Name | BEATRIZ HERNANDEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010678A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 4407) |
Enumeration Date | 2011-05-18 |
Last Update Date | 2016-10-29 |