| NPI | 1295071686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 596214121) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 596213121) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2012-12-13 |