NPI | 1164505392 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036116812) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WI 63120) |
208100000X Physical Medicine & Rehabilitation (Licence: IN 01062446A) | |
208100000X Physical Medicine & Rehabilitation (Licence: IL 036-116812) | |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IL 036116812) | |
Enumeration Date | 2006-10-23 |
Last Update Date | 2022-02-22 |