| NPI | 1932683042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1106183171) |
| Additional Taxonomies | 174400000X Specialist (Licence: 1106183171) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-25 |