| NPI | 1013340132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: TX FTL47466) |
| Additional Taxonomies | 2086S0129X (Licence: TX FTL 45222) |
| 2086S0129X (Licence: TX FTL47177) | |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2022-10-12 |