| NPI | 1346785714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1074674161) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1075472161) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2016-12-21 |