| NPI | 1598198202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 493730111) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 493729111) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2013-08-16 |