| NPI | 1821327594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: IN 05010113A) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NY 029174-1) |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2009-12-09 |