| NPI | 1568875714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: 854645) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1898809) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |