| NPI | 1548311269 |
|---|---|
| Former Name | SELENA ADNA MCLAREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 028691) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 028691) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2023-02-07 |