| NPI | 1730559907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 950563151) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 950361151) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |