NPI | 1508515024 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070027110) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 301875) |
Enumeration Date | 2022-03-22 |
Last Update Date | 2022-12-27 |