| NPI | 1497169114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 639953121) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 430785473) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2014-06-20 |