| NPI | 1508026972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-121371) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036-121371) |
| 282N00000X General Acute Care Hospital (Licence: IL 125049550) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2021-04-28 |