| NPI | 1710054911 |
|---|---|
| Former Name | LILLIAN K INOCENTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305005436) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01414000) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-11-06 |