| NPI | 1427829175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1289220191) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1289358191) |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-01-11 |