| NPI | 1407239353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 720846131) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 720847131) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |