| NPI | 1639207350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 248552) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 145175) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101260609) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036117442) | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2023-01-05 |