| NPI | 1619111432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084S0010X Psychiatry & Neurology, Sports Medicine (Licence: IL 036.135051) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036.135051) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.135051) | |
| 208000000X Pediatrics (Licence: IL 036.135051) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA MD.204979) | |
| 208000000X Pediatrics (Licence: LA MD.204979) | |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2016-03-31 |