| NPI | 1942509583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0062110) |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: MA 266744) |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: CO DR.0062110) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036137048) | |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2023-03-07 |