| NPI | 1831393800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: PA MD434414) |
| Additional Taxonomies | 2085R0001X (Licence: NY 233075) |
| 2085R0001X (Licence: NJ 25MA08470300) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2025-11-07 |