| NPI | 1134551666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 759293131) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 744293131) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |