| NPI | 1093833394 |
|---|---|
| Former Name | HERALDINE VILLANUEVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ PT40QA01215100) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17153) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2019-04-04 |