| NPI | 1427137702 |
|---|---|
| Former Name | JACQUELINE LIANA NAVARRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-03429) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2004012265) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2018-05-15 |