| NPI | 1154684223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1133034) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 2180548) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2019-08-01 |