| NPI | 1881280212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1380490201) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1380491201) |
| Enumeration Date | 2020-12-20 |
| Last Update Date | 2020-12-20 |