| NPI | 1255808671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 652692) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NY 652692) |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-25 |