| NPI | 1639601040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: IL 036.161152) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036.161152) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2022-08-09 |