| NPI | 1538547542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 742253) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: NY 742253) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |