| NPI | 1669736187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 069041011) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 116087021) |
| 174400000X Specialist (Licence: 27279631) | |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2012-06-28 |