| NPI | 1558859397 |
|---|---|
| Former Name | LEIDY DESIRED PEREZ-MAZARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2020-07-30 |