| NPI | 1467796110 |
|---|---|
| Former Name | MARIVIC PENA RAMORES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070019062) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1224821) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |