| NPI | 1336466770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: FL 11242) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NY 007417-1) |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2010-04-26 |