NPI | 1982698890 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TN 39615) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036076790) |
Enumeration Date | 2005-09-07 |
Last Update Date | 2024-02-05 |