NPI | 1356698211 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: NY 391974101) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 391975101) |
174400000X Specialist (Licence: NY 391973101) | |
Enumeration Date | 2012-08-10 |
Last Update Date | 2012-08-10 |