| NPI | 1538169388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: TX M8700) |
| Additional Taxonomies | 2085R0001X (Licence: NY 60-220089) |
| 2085R0001X (Licence: NY 220089) | |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2013-02-15 |