| NPI | 1598093841 |
|---|---|
| Former Name | BERTHA XITLALY RIVERA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.014584) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070014584) |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2012-10-23 |