| NPI | 1619513686 |
|---|---|
| Former Name | JACINDA A RAMOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06338) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2020004947) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2024-07-30 |