| NPI | 1427307669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY BACB318364) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 15BC00242000) |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2026-01-16 |