| NPI | 1629401211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 459543041) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 6063135051) |
| 174400000X Specialist (Licence: NY 6441720251) | |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-08-19 |