| NPI | 1437325073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: NY 310101-01) |
| Additional Taxonomies | 2085N0700X (Licence: IL 036-113894) |
| 2085N0700X (Licence: MN 70719) | |
| Enumeration Date | 2008-05-04 |
| Last Update Date | 2023-06-22 |