| 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 |