NPI | 1720452741 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NY 897179141) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 867730141) |
174400000X Specialist (Licence: NY 819264141) | |
174400000X Specialist (Licence: NY 819263141) | |
Enumeration Date | 2015-11-16 |
Last Update Date | 2015-11-16 |