| NPI | 1134678014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1050405161) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1050406161) |
| 174400000X Specialist (Licence: NY 1037922161) | |
| 174400000X Specialist (Licence: NY 1037908161) | |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |