| NPI | 1083046890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 742790131) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 742791131) |
| 174400000X Specialist (Licence: NY 761250131) | |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2013-08-02 |