NPI | 1053366831 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-003457) |
Additional Taxonomies | 174400000X Specialist (Licence: IL 070003457) |
Enumeration Date | 2006-05-23 |
Last Update Date | 2009-02-04 |