| NPI | 1063776185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 836691) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1880802) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |