NPI | 1457407553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070012785) |
Additional Taxonomies | 174400000X Specialist (Licence: IL 070012785) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2019-11-04 |