NPI | 1659627719 |
---|---|
Former Name | LILLIANA DE ARMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 10218) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.016920) |
Enumeration Date | 2012-07-26 |
Last Update Date | 2016-05-18 |