| NPI | 1598150708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: OH 35.149272) |
| Additional Taxonomies | 2085R0001X (Licence: IL 125.066893) |
| 2085R0001X (Licence: RI MD17001) | |
| 2085R0001X (Licence: MA 282858) | |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2023-10-17 |