| NPI | 1609264076 |
|---|---|
| Former Name | SHAENA MAE SAZON GONZALEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 2678) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 41468) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2023-01-13 |