| NPI | 1851632269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 610072121) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 610071121) |
| Enumeration Date | 2013-03-09 |
| Last Update Date | 2013-03-09 |