| NPI | 1578818738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1107435) |
| Additional Taxonomies | 174400000X Specialist |
| 174H00000X Health Educator | |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-13 |