NPI | 1053673731 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: NY 174847021) |
Additional Taxonomies | 172A00000X Driver (Licence: NY 174847021) |
Enumeration Date | 2012-06-08 |
Last Update Date | 2012-06-08 |