NPI | 1518639764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.026153) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070.026153) |
Enumeration Date | 2021-10-05 |
Last Update Date | 2021-10-05 |