| NPI | 1821426867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO PTL.0012475) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 070.020366) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2022-03-16 |