| NPI | 1447699095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 252285081) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 310237091) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2013-06-17 |