| NPI | 1154749364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 815868141) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 815985141) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |