NPI | 1447661574 |
---|---|
Former Name | JOANNA MAEHR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NY 1080098) |
Additional Taxonomies | 174400000X Specialist (Licence: 1-14-16001) |
Enumeration Date | 2014-05-12 |
Last Update Date | 2014-05-12 |