| NPI | 1013273317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX S2186) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IL 036.150877) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: SD 11758) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CT 054915) | |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2020-10-28 |