| NPI | 1891506754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 630310051) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 651157051) |
| 174400000X Specialist (Licence: NY 630309051) | |
| Enumeration Date | 2025-01-18 |
| Last Update Date | 2025-01-18 |