| 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 |