| NPI | 1750621876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 377015) |
| 174400000X Specialist (Licence: NY 1420853) | |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2022-07-21 |