| NPI | 1386915155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 535200111) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 447117101) |
| 174400000X Specialist (Licence: NY 378735091) | |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |