| NPI | 1922356864 |
|---|---|
| Former Name | JACQUELINE WERTHEIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: OH 35.129132) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2022-01-25 |