| NPI | 1144582818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 168401871) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 168402871) |
| 174400000X Specialist (Licence: NY 630866951) | |
| 174400000X Specialist (Licence: NJ 00922225) | |
| 174400000X Specialist (Licence: NJ 00093075) | |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2012-06-08 |