| NPI | 1538409107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 521052111) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 521053111) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2015-08-11 |