| NPI | 1043643372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 761490131) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 761489131) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2013-08-09 |