NPI | 1407006273 |
---|---|
Former Name | LINSIE RUY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171W00000X Contractor (Licence: CA 38425) |
Additional Taxonomies | 171W00000X Contractor (Licence: NY 006827) |
Enumeration Date | 2008-09-29 |
Last Update Date | 2020-09-10 |