NPI | 1134481617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: NY 536097041) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 448533041) |
Enumeration Date | 2012-06-11 |
Last Update Date | 2012-06-11 |