| NPI | 1740631951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.157242) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 340552) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NE 3108) | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2026-01-08 |