| NPI | 1598198095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 284673091) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 284674091) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2013-08-20 |