| NPI | 1023431863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME85171) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME54751) |
| 174400000X Specialist (Licence: FL ME113836) | |
| 174400000X Specialist (Licence: FL ME105350) | |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2014-01-30 |