| NPI | 1043464332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY CO002339) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 003079-1) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2012-12-27 |