| NPI | 1841627510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 774650131) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 520925111) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2013-09-26 |