| NPI | 1750701090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 600430121) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 600178121) |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2014-04-25 |