| NPI | 1861538597 |
|---|---|
| Professional Name | LISA M FERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID RPT-514) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 040-0001077) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |