| NPI | 1740734565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 692607121) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 692608121) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |