NPI | 1639495930 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070022281) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MI 5501005988) |
Enumeration Date | 2010-04-12 |
Last Update Date | 2018-06-04 |