| NPI | 1396206967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CT 79208) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 125075414) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2024-09-12 |