| NPI | 1992044952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 162144021) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 615649051) |
| 174400000X Specialist (Licence: NY 999590001) | |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-02-11 |