| NPI | 1023085867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA C53415) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD070190L) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2021-12-20 |