NPI | 1720633076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.025737) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2019030169) |
Enumeration Date | 2019-08-05 |
Last Update Date | 2021-06-29 |