| NPI | 1740703255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 993094151) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 993192151) |
| 174400000X Specialist (Licence: NY 9931191151) | |
| 174400000X Specialist (Licence: NY 993193151) | |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2017-07-18 |