| NPI | 1730873894 |
|---|---|
| Former Name | CHRISTINE ANGELI JISON FERNANDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM PT-2023-2169) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2023-10-25 |