| NPI | 1811977457 |
|---|---|
| Former Name | MITAS MOINA BALBIN FLORES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 7029) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 23719) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2017-04-13 |