| NPI | 1174789663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036133768) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01070622A) |
| 174400000X Specialist (Licence: WA MD 60099224) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2020-10-07 |