| NPI | 1902236276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 784621131) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 784620131) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-12-01 |