| NPI | 1427220417 |
|---|---|
| Former Name | ANNA ILINICHNA DAVIDOVICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A114016) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2024-06-27 |