| NPI | 1790346682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 332806) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA12412100) |
| 207R00000X Internal Medicine (Licence: NY 332806) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA12412100) | |
| 207R00000X Internal Medicine (Licence: IL 036169928) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036169928) | |
| Enumeration Date | 2019-06-22 |
| Last Update Date | 2026-07-06 |