| NPI | 1700215712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 728710132) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 728711132) |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2013-11-11 |