NPI | 1215988548 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME139585) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-136020) |
363A00000X Physician Assistant (Licence: IL 385000281) | |
Enumeration Date | 2006-05-12 |
Last Update Date | 2019-03-25 |