NPI | 1851742282 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 008869) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 125.069085) |
Enumeration Date | 2016-06-27 |
Last Update Date | 2021-05-14 |