| NPI | 1508113069 |
|---|---|
| Former Name | LEILA BELEN EDIZA JAVIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 009510) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT022332) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2019-01-22 |