| NPI | 1134744238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036168056) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: SC LL84522) |
| 208D00000X General Practice (Licence: FL ME162659) | |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2024-05-22 |