| NPI | 1154797926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 820197141) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 820196141) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |