| NPI | 1780348599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 2662673) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: NY 2662673) |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2021-11-04 |