| NPI | 1497077754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NV NVMT2827) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 014281) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-02-26 |