| NPI | 1548408511 |
|---|---|
| Former Name | INGRID KAREN FRANCISCO BUSTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01303600) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 9294) |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2013-03-04 |