NPI | 1245669886 |
---|---|
Former Name | SHARONA BINIAMINOV |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: NY 802953131) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 675248121) |
174400000X Specialist (Licence: NY 675247121) | |
Enumeration Date | 2013-11-04 |
Last Update Date | 2015-09-16 |