| NPI | 1083960017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 423390101) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 423391101) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-07-27 |