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 |