| NPI | 1528492238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 692028121) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 692027121) |
| 174400000X Specialist (Licence: NY 692219121) | |
| 174400000X Specialist (Licence: NY 692026121) | |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |