| NPI | 1245620574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 587276051) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 078492011) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |