| NPI | 1144867177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1153750171) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 655301121) |
| 174400000X Specialist (Licence: NY 655300121) | |
| 174400000X Specialist (Licence: NY 1153749171) | |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |