| NPI | 1023217908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X (Licence: SC MD32487) |
| Additional Taxonomies | 2086S0129X (Licence: FL ME112123) |
| 2086S0129X (Licence: SC 32487) | |
| 2086S0129X (Licence: AL MD32127) | |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2024-06-07 |