| NPI | 1750989018 |
|---|---|
| Former Name | EDITH P GONZALEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501020264) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 13224) |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2023-10-23 |