| NPI | 1598559304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1892591251) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1892590251) |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-04-07 |