| NPI | 1124208749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX N0445) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 125047988) |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2020-02-26 |