| NPI | 1346441656 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036132233) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL UO2489) | 
| 225100000X Physical Therapist | |
| Enumeration Date | 2007-05-31 | 
| Last Update Date | 2019-05-02 |