| NPI | 1083591481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1834622) |
| Additional Taxonomies | 174400000X Specialist (Licence: CT C052023001024) |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |