| NPI | 1255692794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.144446) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.144446) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.129457) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 35.129457) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036.144446) | |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2018-02-05 |