| NPI | 1578015228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1061628161) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1061477161) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-10-28 |