| NPI | 1013348820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 642514121) |
| Additional Taxonomies | 174400000X Specialist (Licence: 634912121) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |