NPI | 1912120767 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 70014093) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 16910) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2012-10-14 |