| NPI | 1639690639 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036156626) | 
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 125.072906) | 
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301112654) | |
| Enumeration Date | 2017-06-29 | 
| Last Update Date | 2022-06-28 |