| NPI | 1023368008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 517234111) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 518925111) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |