| NPI | 1699050906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 889054491) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NY 889054491) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2012-06-12 |