| NPI | 1508293952 |
|---|---|
| Former Name | MARA GABRIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0013653) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2022-04-06 |