| NPI | 1841646601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: NY 335814) |
| Additional Taxonomies | 2085R0001X (Licence: NJ 25MA11078900) |
| 2085R0001X (Licence: PA MD474392) | |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2025-04-18 |