NPI | 1376961110 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036146619) |
Additional Taxonomies | 208D00000X General Practice (Licence: WI 66175) |
Enumeration Date | 2014-03-30 |
Last Update Date | 2021-08-09 |