| NPI | 1881046662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 527590111) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 447056101) |
| 174400000X Specialist (Licence: NY 554711111) | |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-07-06 |