NPI | 1528021953 |
---|---|
Former Name | LANA SHILOVITSKIY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D55011) |
Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: MD D55011) |
Enumeration Date | 2006-04-07 |
Last Update Date | 2007-11-21 |