| NPI | 1972963536 |
|---|---|
| Former Name | FAITH MARIE HERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT291086) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 291086) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2022-07-21 |