| NPI | 1043305535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: FL MA 44944) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL MM19079) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |