| NPI | 1386807493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: NH 38160) |
| Additional Taxonomies | 2085R0001X (Licence: NY 258838) |
| 2085R0001X (Licence: FL ME111445) | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2025-10-22 |