| 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 |