| NPI | 1295231074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 314385) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 125.072805) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.155779) | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2022-06-21 |