| NPI | 1629586177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 941685151) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1070551161) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2019-11-11 |