| NPI | 1588753396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 40QA00388400) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA PT001674E) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |