| 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 |