| NPI | 1104115492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-152803) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD463996) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 264879) | |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2022-06-27 |