| NPI | 1043572340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 18200282) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 776250) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-15 |