NPI | 1457692964 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014419) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070019478) |
Enumeration Date | 2013-03-07 |
Last Update Date | 2022-01-05 |