NPI | 1043779309 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036171415) |
Additional Taxonomies | 208D00000X General Practice (Licence: PA MD478285) |
390200000X Student in an Organized Health Care Education/Training Program | |
208100000X Physical Medicine & Rehabilitation (Licence: PA MT220480) | |
Enumeration Date | 2019-03-17 |
Last Update Date | 2024-08-06 |