| NPI | 1679685234 |
|---|---|
| Former Name | PETRA NOVOTNY-JOSEPH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IL 036-061158) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-061158) |
| 208100000X Physical Medicine & Rehabilitation (Licence: IL 036-061158) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: IL 036-061158) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036-061158) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-02-26 |