| NPI | 1720530801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CT 037148) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 188382) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |