| NPI | 1962711044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 005173) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA 013923L) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2010-10-06 |