NPI | 1518212190 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NY 632812121) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 632817121) |
174400000X Specialist (Licence: NY 632816121) | |
174400000X Specialist (Licence: NY 632811121) | |
Enumeration Date | 2012-07-19 |
Last Update Date | 2012-07-19 |