| NPI | 1386110864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 2792725) |
| Additional Taxonomies | 174400000X Specialist |
| 174400000X Specialist | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2024-09-04 |