| NPI | 1629331426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101262413) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT201508) |
| 208100000X Physical Medicine & Rehabilitation (Licence: IL 036148244) | |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2024-03-04 |