| NPI | 1255819074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 995357151) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 709456131) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |