| NPI | 1396239620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 909271151) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 898377141) |
| 174400000X Specialist (Licence: NY 909273151) | |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |