| 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 |