| NPI | 1174865232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 844473) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1888608) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |