| NPI | 1689239865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.169275) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 125.075693) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 84446-20) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 331558) | |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2024-10-28 |