| NPI | 1841552023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 841152) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 458148101) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |