| NPI | 1063679140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 0060681) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036124201) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036124201) | |
| Enumeration Date | 2008-05-17 |
| Last Update Date | 2024-05-13 |