NPI | 1003131988 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: FL ME115095) |
Additional Taxonomies | 174400000X Specialist (Licence: GA 70316) |
Enumeration Date | 2010-04-02 |
Last Update Date | 2016-01-27 |