| NPI | 1215344890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1839345) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 526660041) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |