NPI | 1366428328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036124104) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2003031775) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL DEA FM1675771) | |
Enumeration Date | 2005-12-21 |
Last Update Date | 2010-08-11 |