| NPI | 1710319231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 761691131) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 761516131) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |