| NPI | 1699124354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036-157476) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IL 036-157476) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0008360) | |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2021-07-14 |