NPI | 1114541851 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.021003) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070.021003) |
Enumeration Date | 2020-05-28 |
Last Update Date | 2023-12-20 |