NPI | 1851369268 |
---|---|
Former Name | MONICA NANCY RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 0794) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 5158) |
Enumeration Date | 2006-03-10 |
Last Update Date | 2009-12-14 |