| NPI | 1033469382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 520463111) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 520703111) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-09-13 |