| NPI | 1699004432 |
|---|---|
| Former Name | LEILANE RITA AYALA MONTECALVO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0002331) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.016809) |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2009-12-07 |