| NPI | 1477809655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 442678101) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 442677101) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2012-07-25 |