| NPI | 1144565516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 435686101) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 435688101) |
| 174400000X Specialist (Licence: NY 435687101) | |
| 174400000X Specialist (Licence: NY 435685101) | |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |