| NPI | 1194086140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 544125111) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 544126111) |
| 174400000X Specialist (Licence: NY 346444091) | |
| 174400000X Specialist (Licence: NY 346443091) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-06-06 |