| NPI | 1922485119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 652934121) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 558162111) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |