| NPI | 1144570086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 558405111) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 562850111) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |