| NPI | 1245607274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 903249141) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 419437101) |
| 174400000X Specialist (Licence: NY 417870101) | |
| 174400000X Specialist (Licence: NY 903248141) | |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |