NPI | 1831243831 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-11630) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-111630) |
2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: IL 036-111630) | |
Enumeration Date | 2007-01-23 |
Last Update Date | 2021-05-04 |