| NPI | 1073589396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CT 031982) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 203942-1) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2007-07-08 |