| NPI | 1356795066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 000287-1) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 840465) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |