| NPI | 1063853273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 646344121) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 633649121) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-16 |