| NPI | 1497924450 |
|---|---|
| Former Name | JASMINE RUIZ-DIAZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL 22977) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 4100) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2021-08-20 |