| NPI | 1124478177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1031266161) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1031226161) |
| 174400000X Specialist (Licence: NY 990064151) | |
| 174400000X Specialist (Licence: NY 990060151) | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |