| NPI | 1407355993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 827399) |
| 174400000X Specialist | |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-02-09 |