| NPI | 1770842825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: IL 036132217) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036.132217) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2022-06-29 |