| NPI | 1194087296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1271067) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 707038) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |