| NPI | 1952663437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 550918111) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 550917111) |
| 174400000X Specialist (Licence: NY 365840091) | |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2012-06-11 |