| NPI | 1801205877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 861480142) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 950887) |
| 174400000X Specialist (Licence: NY 861481142) | |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2017-02-02 |