| NPI | 1861933301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 765565131) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 701399131) |
| 174400000X Specialist (Licence: NY 701398131) | |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-03-16 |