| NPI | 1487660585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: OK 26519) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OK 26519) |
| 208100000X Physical Medicine & Rehabilitation (Licence: IL 036-115728) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2018-01-11 |