| NPI | 1295084986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 396548101) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1248549) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2012-09-10 |