NPI | 1508945601 |
---|---|
Former Name | MELIZA CARMELA UMALI VENERACION |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40qa01086400) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 023736-1) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2007-07-08 |