| NPI | 1083957112 |
|---|---|
| Former Name | JENNILYN MUNDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501301791) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 032851) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2023-06-29 |