| NPI | 1376798827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: NY 012918-1) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 012918-1) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2008-11-25 |