NPI | 1801854435 |
---|---|
Former Name | IVA PRAVDOVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MA 161099) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2021-06-02 |