| NPI | 1144231515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MA07910000) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 236921-1) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2013-10-18 |