| NPI | 1376063370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036165488) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 69908) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD61478865) | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2025-05-27 |