| NPI | 1609202621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 200238) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 689168121) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |