| NPI | 1346640844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: 386281101) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 386280101) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-03 |