| NPI | 1013540244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 125-077583) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.077583) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2022-06-30 |