| NPI | 1922244094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: WA MA00024164) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 0-1967-1) |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2008-12-19 |