| NPI | 1942366547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 198602) |
| Additional Taxonomies | 174400000X Specialist (Licence: CT 039343) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |