NPI | 1942550868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: NY 566357111) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 354266091) |
174400000X Specialist (Licence: NY 354265091) | |
174400000X Specialist (Licence: NY 501257111) | |
Enumeration Date | 2012-09-18 |
Last Update Date | 2012-09-19 |