NPI | 1043765225 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036169318) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 125.075699) |
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: IL 036.169318) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-08-17 |
Last Update Date | 2024-07-17 |