| NPI | 1003065814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: DC LC 00301665) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD 05745) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2010-04-06 |