| NPI | 1093070823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 2163191) |
| Additional Taxonomies | 174400000X Specialist (Licence: 1116407) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |