| NPI | 1083316129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 125084576) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX 1083316129) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125084576) | |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2024-08-05 |