NPI | 1295902005 |
---|---|
Former Name | MASAE MURAMATSU PANCAKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: FL MA54044) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 27021753) |
Enumeration Date | 2008-05-12 |
Last Update Date | 2014-03-21 |