| NPI | 1750826533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 721741131) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 900707141) |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |