| NPI | 1598299851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 978715151) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 978585151) |
| 174400000X Specialist (Licence: NY 978584151) | |
| 174400000X Specialist (Licence: NY 978583151) | |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |