| NPI | 1497197305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 530855111) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 530856111) |
| 174400000X Specialist (Licence: NY 530854111) | |
| 174400000X Specialist (Licence: NY 530853111) | |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2013-07-19 |