| NPI | 1790042349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MD H0101495) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036140066) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2025-10-10 |