| NPI | 1003224288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 401210101) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 401209101) |
| 174400000X Specialist (Licence: NY 743222131) | |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |