| NPI | 1275978843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 692312121) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 316468091) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |