NPI | 1336377001 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.140450) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.140450) |
Enumeration Date | 2009-07-01 |
Last Update Date | 2022-01-10 |