| NPI | 1205194164 |
|---|---|
| Former Name | LALAINE G LUNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 033809) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 033809) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2021-03-19 |