| NPI | 1003184441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: MA 8865) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 09574) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2014-07-14 |