NPI | 1235358110 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: IL 070.015502) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: MO 2006032128) |
Enumeration Date | 2007-04-25 |
Last Update Date | 2007-07-08 |