| NPI | 1700276714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 756830131) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 757749131) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-01-28 |