| NPI | 1336495787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 558286111) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 558450111) |
| 174400000X Specialist (Licence: NY 558288111) | |
| 174400000X Specialist (Licence: NY 558287111) | |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2012-08-02 |