| NPI | 1659932549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: OR DO220210) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 125.075184) |
| Enumeration Date | 2019-06-22 |
| Last Update Date | 2024-08-06 |