| NPI | 1407852726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: NJ 25MA06058800) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA06058800) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2024-04-29 |