| NPI | 1316200066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 181877081) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 91772071) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |