| NPI | 1316137490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 68890-20) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.145008) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 244243) | |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2022-08-10 |