| NPI | 1437423704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 563747111) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 563746111) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2013-10-08 |