NPI | 1518152305 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 251416) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 36116446) |
Enumeration Date | 2007-09-13 |
Last Update Date | 2024-06-10 |