| NPI | 1194173799 |
|---|---|
| Former Name | AIENA A BAUTISTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20142) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 19703) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2021-04-05 |