| NPI | 1427447515 |
|---|---|
| Former Name | MONIQUE GABRIELLE DELUCA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27463) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 038329) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2024-12-18 |