| NPI | 1730900655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251X00000X (Licence: NJ 99-2784358) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NJ 99-2784358) |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-11-08 |