NPI | 1992052203 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: NY 474367101) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 474366101) |
Enumeration Date | 2012-08-07 |
Last Update Date | 2012-08-07 |