| NPI | 1346789740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2025-00378) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036.157368) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2025-02-28 |