NPI | 1740575828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036-138339) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WI 57347) |
Enumeration Date | 2011-06-16 |
Last Update Date | 2018-02-20 |