| NPI | 1548645955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 737151131) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 716623131) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |