| NPI | 1639524184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1025604161) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1025758161) |
| 174400000X Specialist (Licence: NY 1029619161) | |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-03 |