| NPI | 1376076364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1018989161) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1088373161) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |