| NPI | 1932462439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 358779091) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 499097111) |
| 174400000X Specialist | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2017-07-28 |