| NPI | 1477986669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 510322111) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 348717091) |
| 174400000X Specialist (Licence: NY 510323111) | |
| 174400000X Specialist (Licence: NY 348716091) | |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |