| NPI | 1588149124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 125.079511) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.079511) |
| Enumeration Date | 2018-09-29 |
| Last Update Date | 2023-06-26 |