| NPI | 1700461191 |
|---|---|
| Former Name | DAFINIE JACQUES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT36987) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PTT36987) |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2022-03-22 |