| NPI | 1487218772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036168766) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301518726) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 308738) | |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2026-09-22 |