| NPI | 1306098314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: NY 676646961) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NY 676645961) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |