| NPI | 1467894063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 468834101) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 391489101) |
| 174400000X Specialist (Licence: NY 677803121) | |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2013-07-24 |