| NPI | 1881853521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036159420) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 048576) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 246-285-1) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2022-04-08 |