| NPI | 1902957533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PA MD006326E) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MAO185860) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-07-08 |