| NPI | 1497197107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 345869091) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 333418091) |
| 174400000X Specialist (Licence: NY 20281061) | |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |