NPI | 1811986110 |
---|---|
Former Name | SIMONA FIALOVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35095988) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME 015581) |
Enumeration Date | 2005-10-19 |
Last Update Date | 2012-01-13 |