| NPI | 1821651415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 83509-20) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 125.078110) |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2024-04-02 |