| NPI | 1215290283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 456672101) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 456670101) |
| Enumeration Date | 2012-06-24 |
| Last Update Date | 2012-06-24 |