| NPI | 1023178613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MO 001061) |
| Additional Taxonomies | 174400000X Specialist (Licence: KS 17-00525) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2012-02-23 |