| NPI | 1760502306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036.113400) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: MA 228403) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2025-03-14 |