NPI | 1467895813 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036.145939) |
Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: TX BP10060307) |
Enumeration Date | 2013-04-15 |
Last Update Date | 2022-10-27 |