| NPI | 1063503100 |
|---|---|
| Former Name | KYLE IVY COHEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: OR 12687) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA 00034920) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |