| NPI | 1225452204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 454598101) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 430878101) |
| 174400000X Specialist (Licence: NY 822475141) | |
| 174400000X Specialist (Licence: NY 822317141) | |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-02-11 |