| NPI | 1285077263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 310051031) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 086410) |
| 174400000X Specialist | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |