| NPI | 1861557506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.48092) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 180469) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.146208) | |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2018-08-29 |