| NPI | 1740711092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 645030121) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 645031121) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |