| NPI | 1871848358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ND 14267) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.062271) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND 14267) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 125.062271) | |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2020-06-08 |