| NPI | 1427313196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 194683081) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 210592081) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |