| NPI | 1225471626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 641156121) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 640907121) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |