| NPI | 1396196390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 912404151) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 912403151) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-06-30 |