| NPI | 1285985598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376J00000X Homemaker (Licence: CT HCA.0000805) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1314235) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2014-02-21 |