| NPI | 1710422555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1091762161) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1091763161) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |