| NPI | 1225584006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: NJ 25MA12674900) |
| Additional Taxonomies | 2085R0001X (Licence: NY 336471) |
| 2085R0001X (Licence: IL 2085R0001X) | |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2025-07-08 |