NPI | 1871788927 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX N3195) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 12549553) |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 12549553) | |
Enumeration Date | 2007-09-12 |
Last Update Date | 2022-10-30 |