| NPI | 1720521636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 634589051) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 619957051) |
| Enumeration Date | 2016-11-25 |
| Last Update Date | 2016-11-25 |