| NPI | 1063707172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.138588) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125:059387) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2017-10-04 |