| NPI | 1083976450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 129220-1172945) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 129220) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2023-03-10 |