| NPI | 1043388812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WA MD61238319) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036.110676) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2022-01-10 |