| NPI | 1790949832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA 7782) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 007438-1) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2008-07-17 |