| NPI | 1376953745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 832870142) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 832869142) |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2022-07-21 |