| NPI | 1881419646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1833933241) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1833982241) |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2024-11-18 |