| NPI | 1881425361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 297.011185) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: MO 2024032007) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MO 2024032007) | |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2026-09-03 |