| NPI | 1952843302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 805244) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1849316) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |