| NPI | 1922030550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 261250) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 40QA01060800) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2013-07-03 |