| NPI | 1023440138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 590589121) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 713199131) |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2014-04-06 |