| NPI | 1457818833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 206471) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 332452032) |
| 174H00000X Health Educator (Licence: NY 206471) | |
| 202C00000X Independent Medical Examiner (Licence: NY 332452032) | |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-03-04 |