| NPI | 1437196136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 60 250982) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 57349) |
| 174400000X Specialist (Licence: NH 12207) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2009-01-22 |