| NPI | 1598910796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 0034461) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 003446-1) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2008-12-02 |