| NPI | 1902465693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125074268) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2024-01112) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NC 2024-01112) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IL 125074268) | |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2024-06-20 |