| NPI | 1083976831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 535965111) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 535798111) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |