| NPI | 1083998991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156F00000X Technician/Technologist (Licence: NY 791895971) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 765253971) |
| 174400000X Specialist (Licence: NY 763541971) | |
| 235500000X Specialist/Technologist (Licence: NY 274705031) | |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2011-10-11 |