| NPI | 1699199695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 704648131) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 527533111) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-02-11 |