| NPI | 1831243831 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-11630)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-111630)  | 
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: IL 036-111630)  | |
| Enumeration Date | 2007-01-23 | 
| Last Update Date | 2021-05-04 |