| NPI | 1194713487 |
|---|---|
| Former Name | CORALYN J HERTZBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD00029741) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ID M6940) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2023-08-29 |