| NPI | 1396136909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 727909131) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 748363131) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2021-03-06 |