| NPI | 1578793949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 55467) |
| Additional Taxonomies | 208D00000X General Practice (Licence: WI 55467-20) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036162319) | |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2024-06-18 |