| NPI | 1780420976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1800256241) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1790017241) |
| 174400000X Specialist (Licence: NY 1792636241) | |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-08 |