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 |