| NPI | 1497279665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 300970) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 36173449) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX V2683) | |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2025-10-24 |