| NPI | 1750356648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CT 034621) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 208870-1) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2007-07-08 |