| NPI | 1609211739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 695198121) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 695200121) |
| 174400000X Specialist (Licence: NY 695199121) | |
| 174400000X Specialist (Licence: NY 695197121) | |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-05-02 |