NPI | 1528795127 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070.029017) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MO 2023006863) |
2251X0800X Physical Therapist, Orthopedic (Licence: MO 2022030616) | |
Enumeration Date | 2022-08-03 |
Last Update Date | 2025-03-13 |