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 |