| NPI | 1295422269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1678148231) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1678133231) |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-04-20 |