| NPI | 1154780518 |
|---|---|
| Former Name | EVA NICOLE LOPEZ-HENRIQUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 283X00000X Rehabilitation Hospital (Licence: MD A0000783) |
| Enumeration Date | 2016-02-14 |
| Last Update Date | 2023-12-05 |