| NPI | 1932417698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 434235101) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 434086101) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2012-08-15 |