| NPI | 1457654758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY R067425-1) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL SW7291) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2025-05-12 |