| NPI | 1245792118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA A204109) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 125.081134) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2025-12-01 |