| NPI | 1730502139 |
|---|---|
| Former Name | SHEIRLEEN UMBONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0347091) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0012095) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2014-01-22 |