| NPI | 1063972404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036170900) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 281143) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0102208150) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036.170900) | |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2024-09-19 |