| NPI | 1134546500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 665462121) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 581649111) |
| 174400000X Specialist (Licence: NY 581650111) | |
| 174400000X Specialist (Licence: NY 665461121) | |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |