NPI | 1154707487 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070.021.295) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.021295) |
Enumeration Date | 2015-08-10 |
Last Update Date | 2025-03-09 |