| NPI | 1134194046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CT 036691) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 225840-1) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2026-05-11 |