| NPI | 1326673658 |
|---|---|
| Former Name | MARIA KATHLEEN INFANTE SANTOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 10950) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 292139) |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2021-11-15 |