| NPI | 1396146973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 865509141) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 865555141) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2015-12-14 |