| NPI | 1598009649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 680487121) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 680488121) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |