NPI | 1639215015 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IL 036076824) |
Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IL 036076824) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2022-06-20 |