| NPI | 1861833352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 756117131) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 756116131) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-12 |