| NPI | 1124547740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1231335181) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 759566131) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2023-09-15 |