| NPI | 1326899634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX 1573-0722) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX 1680-0722) |
| 175T00000X Peer Specialist (Licence: TX 1680-0722) | |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-03-27 |