| NPI | 1275945487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 243756031) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 18882061) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |