| NPI | 1033206800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036097973) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 37333020) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 30085) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |