| NPI | 1316300916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: IL 036.161115) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036.161115) |
| 208100000X Physical Medicine & Rehabilitation (Licence: IL 125069250) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2022-09-01 |